夹脊穴穴位注射治疗胸腰部带状疱疹后遗神经痛的临床疗效观察

Observation on clinical efficacy of acupoint injection at Jiaji point in the treatment of post-herpetic neuralgia in the thoracolumbar region

目的 探究夹脊穴穴位注射治疗胸腰部带状疱疹后遗神经痛(PHN)的临床疗效。方法 80例胸腰部PHN患者,依据随机分组法分为治疗组与对照组,各40例。对照组采用加巴喷丁胶囊口服治疗,治疗组采用夹脊穴穴位注射治疗。对比两组治疗前后疼痛程度、睡眠质量、不良反应发生情况及治疗效果。结果 治疗第7天、治疗第14天、治疗结束时和治疗后3个月,两组视觉模拟评分法(VAS)评分均低于本组治疗前,且治疗组治疗第7天、治疗第14天、治疗结束时,VAS评分分别为(3.87±0.22)、(2.76±0.78)、(2.59±0.45)分,均低于对照组的(5.64±1.01)、(4.77±0.54)、(3.32±0.62)分,差异均有统计学意义(P<0.05)。治疗后,治疗组睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、睡眠药物、日间功能障碍评分分别为(1.52±0.16)、(1.51±0.32)、(1.38±0.07)、(0.62±0.03)、(0.78±0.12)、(0.23±0.02)、(0.57±0.24)分,均低于对照组的(1.82±0.30)、(1.81±0.22)、(1.82±0.19)、(1.59±0.21)、(1.80±0.22)、(1.03±0.09)、(0.91±0.10)分,差异均有统计学意义(P<0.05)。两组患者治疗中未见显著不良反应。治疗组治疗总有效率为97.50%,高于对照组的82.50%,差异有统计学意义(P<0.05)。结论 采用夹脊穴穴位注射治疗胸腰部PHN患者,可缓解患者病痛,改善患者的睡眠质量,值得推广。

Objective To investigate the clinical efficacy of acupoint injection at Jiaji point in the treatment of post-herpetic neuralgia(PHN)in the thoracolumbar region.Methods A total of 80 patients with thoracolumbar PHN were randomly divided into treatment group and control group,with 40 cases in each group.The control group was treated with gabapentin capsules orally,and the treatment group was treated with acupoint injection at Jiaji point.The pain level and sleep quality before and after treatment,occurrence of adverse reactions and therapeutic effect of the two groups were compared.Results On the 7th and 14th day of treatment,at the end of treatment and 3 months after treatment,the visual analogue scale(VAS)scores of both groups were lower than those before treatment in this group;VAS scores of the treatment group were(3.87±0.22),(2.76±0.78)and(2.59±0.45)points,which were lower than those of(5.64±1.01),(4.77±0.54)and(3.32±0.62)points of the control group;the differences were statistically significant(P<0.05).After treatment,the scores of sleep quality,sleep latency,sleep time,sleep efficiency,sleep disorder,sleep medication and daytime dysfunction were(1.52±0.16),(1.51±0.32),(1.38±0.07),(0.62±0.03),(0.78±0.12),(0.23±0.02)and(0.57±0.24)points in the treatment group,which were lower than those of(1.82±0.30),(1.81±0.22),(1.82±0.19),(1.59±0.21),(1.80±0.22),(1.03±0.09)and(0.91±0.10)points in the control group,and the differences were statistically significant(P<0.05).No significant adverse reactions were observed in the two groups.The total effective rate of the treatment group was 97.50%,which was higher than that of 82.50%of the control group,and the difference was statistically significant(P<0.05).Conclusion Acupoint injection at Jiaji point for patients with thoracolumbar PHN can relieve the pain of patients and improve their sleep quality,which is worth promoting.